Individual
TARA MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 REESE RD, FRANKFORT, NY 13340-3404
(315) 895-3007
Mailing address
610 REESE RD, FRANKFORT, NY 13340-3404
(315) 895-3007
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
571318
NY
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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